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Key Measures

These program metrics support your demonstrated excellence in care delivery. The High Performing Physicians program provides both the visibility to your practice’s referral patterns, and the tools to help you connect patients to in-network, affordable care options.

Preferred Specialist Referrals

Encourages physicians to refer to the specialists identified as offering high-quality and cost-efficient care 

  • If you have Point of Care Assist®, locate preferred specialists via your electronic medical records (EMR) workflow.
  • If you do not yet have Point of Care Assist, locate preferred specialists here, identified with two blue hearts.

Pharmacy-Preferred Tier Prescribing

Supports physicians prescribing Tier 1 and 2 pharmacy-preferred drugs, which help members save money because they are typically the lower-cost option

  • If you have Point of Care Assist, access PreCheck MyScript via your electronic medical records (EMR) workflow.
  • If you do not yet have Point of Care Assist, access PreCheck MyScript here.

Preferred Lab Use

Facilitates physicians’ use of our preferred labs, which includes independent labs that have high standards for quality, service and affordability

  • If you have Point of Care Assist, find preferred labs via your electronic medical records (EMR) workflow.
  • If you do not yet have Point of Care Assist, find preferred labs here.

Lower-Cost Imaging Providers

Supports the use of independent or hospital-based imaging centers or physician groups whose magnetic resonance imaging (MRI) or computed tomography (CT) technical imaging service costs are lower than those of their peers

  • If you have Point of Care Assist, find lower-cost imaging providers via your electronic medical records (EMR) workflow.
  • If you do not yet have Point of Care Assist, your Network Engagement Manager can provide you with a directory of lower-cost imaging providers. Contact your Network Engagement Manager at highperforming@uhc.com.

Lower-Cost Surgical Centers

Assists in the identification of independent and hospital-based surgical centers whose costs for certain procedures are lower than those of their peers

  • If you have Point of Care Assist, find lower-cost imaging providers via your electronic medical records (EMR) workflow.
  • If you do not yet have Point of Care Assist, your Network Engagement Manager can provide you with a directory of lower-cost surgical centers. Contact your Network Engagement Manager at highperforming@uhc.com.

 

Collaborating on Key Measures

These key measures serve as the gateway for our work together to make progress on our shared commitment of connecting patients to high-quality, cost-efficient care. UnitedHealthcare Insights and Point of Care Assist enable improvement over time, with support from Network Engagement Managers to understand and take action on the data so you can continuously improve.

*Point of Care Assist is dependent on the health system’s electronic medical record (EMR) and not available to all UnitedHealthcare contracted physicians. For more information on how UnitedHealthcare supports interoperability, please visit care.uhcprovider.com/.